Wayside Recovery Center
LBN: Wayside House, Inc.
Wayside Recovery Center is an health care organization with primary practice located at 1349 Jersey Ave S , St. Louis Park MN 55426. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Substance Abuse Rehabilitation Facility is the primary health care specialty.
Wayside House, Inc. can be contacted via phone (952) 542-9322, or through Forrest-Perkins, Karina via phone (651) 242-5542.
Contact Information
Primary practice address
1349 Jersey Ave S
St. Louis Park MN 55426
Phone: (952) 542-9322
Fax: (952) 542-0031
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | 1092849 | Minnesota |
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 1092849 | Minnesota |
Profile Details
NPI number | 1649756040 |
---|---|
LBN Legal business name | Wayside House, Inc. |
DBA Doing business as | Wayside Recovery Center |
Authorized official | Forrest-Perkins, Karina MHR LADC |
Entity | Organization |
Organization subpart 1 | Yes |
Enumeration date | Jul 18th, 2018 |
Last updated | Jul 18th, 2018 - about 6 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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